AUDREY ANNE BOLDEN

COLE PHYSICIAN SERVICES LLC

Dr AUDREY ANNE BOLDEN is a female medical professional, specializing in Nurse Practitioner. She graduated in 2017.

Contact

COLE PHYSICIAN SERVICES LLC

2505 MISSION DR
JEFFERSON CITY
MO
651099508

Tel: 5736813000

AUDREY ANNE BOLDEN Information

Npi 1316455959
Pac Id 1153682448
Professional Enrollment Id I20180301001157
Last Name BOLDEN
First Name AUDREY
Middle Name ANNE
Suffix
Gender F
Credential
Medical School Name OTHER
Graduation Year 2017
Primary Specialty NURSE PRACTITIONER
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name COLE PHYSICIAN SERVICES LLC
Group Practice Pac Id 0648420810
Number Of Group Practice Members 19
Line 1 Street Address 2505 MISSION DR
Line 2 Street Address
Marker Of Address Line 2 Suppression
City JEFFERSON CITY
State MO
Zip Code 651099508
Phone Number 5736813000
Hospital Affiliation Ccn 1 260200
Hospital Affiliation Lbn 1 SSM ST JOSEPH HOSPITAL WEST
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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